ExtraCapsular Cataract Extraction  involves the removal of almost the entire natural lens while the elastic lens capsule (posterior capsule) is left intact to allow implantation of an intraocular lens.[4] It involves manual expression of the lens through a large (usually 10–12 mm) incision made in the cornea or sclera. Although it requires a larger incision and the use of stitches, the conventional method may be indicated for patients with very hard cataracts or other situations in which phacoemulsification is problematic


Phacoemulsification (Phaco) is the most common technique used by developed countries. It involves the use of a machine with an ultrasonic handpiece equipped with a titanium or steel tip. The tip vibrates at ultrasonic frequency (40,000 Hz) and the lens material is emulsified. A second fine instrument (sometimes called a “cracker” or “chopper”) may be used from a side port to facilitate cracking or chopping of the nucleus into smaller pieces. Fragmentation into smaller pieces makes emulsification easier, as well as the aspiration of cortical material (soft part of the lens around the nucleus). After phacoemulsification of the lens nucleus and cortical material is completed, a dual irrigation-aspiration (I-A) probe or a bimanual I-A system is used to aspirate out the remaining peripheral cortical material.


Intracapsular cataract extraction (ICCE) involves the removal of the lens and the surrounding lens capsule in one piece. The procedure has a relatively high rate of complications due to the large incision required and pressure placed on the vitreous body. It has therefore been largely superseded and is rarely performed in countries where operating microscopes and high-technology equipment are readily available. After lens removal, an artificial plastic lens (an intraocular lens implant) can be placed in either the anterior chamber or sutured into the sulcus.


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Hadi Prakoso Wreksoatmodjo, SpM (K), or mostly known as Hadi Prakoso, was graduated as medical doctor from the University of Indonesia-Jakarta, in 1977. As a government employee, after serving as general practitioner in remote area of Maluku province in the eastern part of Indonesia for nearly 8 years, he started his ophthalmology training in the same university and graduated in 1989.  And then he was appointed to work in Bali for one and half year, where he performed the first IOL implantation in that island in 1991.

In 1992 he came back to Jakarta, working as junior staff member of University of Indonesia, in the Strabismus sub Division of the Department of Ophthalmology.  During his time in the university, he studied Low Vision Aid in Tokyo-Japan (1995), and continued studying Strabismus and Oculoplastic in Melbourne-Australia (1995-1996). Upon his return from Australia he chaired the Paediatric Ophthalmology and Strabismus society in Indonesia for seven years (1996-2003), and delivered numerous lectures and courses in national meetings. He used to be the secretary general of the Indonesian Ophthalmologist Association (IOA)(1996-2003), and was also deeply involved in conducting charity mass cataract surgery organized by IOA in 1989-1998. His great passion to cataract and refractive surgery forced him to learn phacoemulsification and Lasik by himself since 1997.  He also attended many courses abroad on cataract and refractive surgery including iris claw phakic IOL. His endless effort to improve his skill and to master various surgical techniques, leads him to be one of the high volume surgeons in the region. He had conducted instructional course and wet lab on Artisan Phakic IOL in Kuala Lumpur and Singapore in 2006, and several times in Indonesia. Since 2007, he had been assigned as a Certified International Trainer for VISX CUSTOM VUE LASIK. Due to his wide and extensive experience in this field, he was invited to give lectures and didactic courses on challenging cases in national and international meetings respectively such as APAO, APACRS and WOC.  He had also performed live surgeries in Indonesia, India and Australia. His enormous experiences in implanting over than thousand premium IOLs (both Toric and Multifocus) in the last 4 years, put him to be one of the most respectable premium surgeons in Indonesia. Since 2012 he actively joined the INASCRS as scientific board member.   Dr.Hadi Prakoso, SpM (K)

Director of the PERDAMI - INASCRS Cataract Fellowship Programme, Klinik Mata Nusantara

Dr. Johan A. Hutauruk, SpM (K), is a consultant ophthalmologist and Director of the Jakarta Eye Center at central Jakarta, a private eye hospital in Indonesia with several locations in Jakarta and Indonesia. Dr. Hutauruk has participated in many live surgeries, teaching courses, lectures and actively involve as scientific committee for the Indonesian Ophthalmologist Annual Meeting.  In recognition of his contributions to organize more than 10,000 free cataract surgeries per year since 2002, the Asia Pacific Academy of Ophthalmology awarded him the APAO Distinguished Service Award during the 2008 APAO and World Ophthalmology Congress in Hong Kong. Dr.Johan A. Hutauruk, SpM (K)

Instructure, Jakarta Eye Center

Dr. Amir Shidik, SpM (K), is a consultant ophthalmologist and Faculty, Cataract and Refractive Surgery Clinic Department of Ophthalmology University of Indonesia Cipto Mangunkusumo Hospital, Jakarta Dr. Amir Shidik, SpM (K)

Instructure, RSCM Kirana

Dr. Setiyo Budi Riyanto, SpM (K)  is a full timer ophthalmologist at Jakarta Eye Center. He graduated general medical Doctor from Medical Faculty University of Indonesia in 1988. His ophthalmologist graduated from medical Faculty University of Indonesia in 1999.

Dr. Setiyo Budi continued fellowship in Cataract, Cornea, and Refractive Surgery at Medical Faculty University of Indonesia in 2002. Start from the time he studied LASIK in Bharti Eye Hospital, New Delhi India (2004), and continued with presby-LASIK by Dr. Alan Telando from France (2006) in Jakarta Eye Center. For Cornea, he had a course for DSAEK at SNEC Singapore (2009). He is presently the President of INASCRS, the Indonesian Society of Cataract and Refractive Surgery. At Present Dr. Setiyo is Medical director Jakarta Eye Center @ Kedoya and Head of Cataract and Refractive Surgery Service Jakarta Eye Center. His clinical work includes Cataract surgery by Phacoemulsification with premium IOL implants, MICS, Phakic IOL, Aphakic IOL, LASIK, Presby LASIK, Keratoplasty, DSAEK and General Ophthalmology, He is also active as Speaker in Indonesia Ophthalmology Association Annual Meeting and International Ophthalmology Meeting. Dr.Setiyo Budi Riyanto, SpM (K)

Instructure, Jakarta Eye Center

Dr.Bambang Triwiyono, SpM (K) has broad clinical interest including cataract, Corneal, refractive and oculoplastic surgery. More recently he has focussed his interest on advancements in cataract & refractive surgery. He has been performing refractive surgery, including laser and lens procedures since 2002 and has performed over 3000 successful refractive laser eye surgeries, including epi Lasik, LASIK and RLE. Dr Bambang is a founding member of the Indonesia Society of Cataract and Refractive Surgery and also a member of the Asia Pasific Society of Cataract and Refractive Surgeons. He has maintains his knowledge of international standards through regular attendance of ophthalmology and Cataract & refractive surgery conferences in the Asia Pacific region and European Union. Despite his busy practice, Dr.Bambang is also Consultant Eye Surgeon( cataract &refractive surgery) and has been Head of the Ophthalmology Department at the Central Pertamina Hospital, Jakarta since 2007 Dr.Bambang Triwiyono, SpM (K)

Instructure, RSUP Pertamina

Dr. Ucok P. Pasaribu, SpM (K),  obtained Medical Doctor and Ophthalmologist from University of Indonesia. He undertook Cataract Management and Phacoemulsification Fellowship at Iladevi Cataract and IOL Research Center, Ahmadabad, India. He also enriched his knowledge and skills in cornea and refractive surgery with Advances in Refractive Surgery and Basic LASIK Course and Corneal Surgery and External Eye Disease Course at Singapore National Eye Center on 2011, followed by attending KeraRings Intrastromal Implant course and Corneal Cross-Linking Therapy Course at ESCRS Congress, Milan on 2012. He is a member of IMA, IOA, INASCRS, ASCRS, ESCRS and APACRS Dr. Ucok P. Pasaribu, SpM (K)

Instructure, Jakarta Eye Center

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